Mr Kenneth J Buley, MD | |
6551 Harris Pkwy, Suite 110, Fort Worth, TX 76132-6105 | |
(817) 370-8833 | |
(817) 370-8852 |
Full Name | Mr Kenneth J Buley |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 6551 Harris Pkwy, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497714026 | NPI | - | NPPES |
0093DH | Other | TX | BCBS |
113742404 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | J4012 (Texas) | Primary |
Entity Name | Legacy Physiatry Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20070907000584 |
Mailing Address | Practice Location Address |
---|---|
Mr Kenneth J Buley, MD Po Box 164009, Fort Worth, TX 76161-4009 Ph: (817) 370-8833 | Mr Kenneth J Buley, MD 6551 Harris Pkwy, Suite 110, Fort Worth, TX 76132-6105 Ph: (817) 370-8833 |
Karen Michelle Perl, D.O. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Suite # 510, Fort Worth, TX 76112 Phone: 817-446-8778 Fax: 817-446-8558 | |
Reuben Kuan-chun Chen, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1001 12th Ave Ste 171, Fort Worth, TX 76104 Phone: 817-576-6500 Fax: 682-703-2064 | |
Gary Campbell, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6116 Oakbend Trl, Suite 112, Fort Worth, TX 76132 Phone: 817-346-7800 | |
Dr. Khalilah Q Clarke, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3600 W 7th St Ste A, Fort Worth, TX 76107 Phone: 817-662-7044 Fax: 817-438-1969 | |
Rachelle Dinwiddie, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2201 Se Loop 820, Fort Worth, TX 76119 Phone: 817-730-0357 | |
Zahra M. Merchant, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6805 Ne Loop 820, Suite 414, Fort Worth, TX 76180 Phone: 814-581-7246 Fax: 817-581-7248 | |
Dr. Lindsay Ramey Argo I, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5450 Clearfork Main St Ste 430, Fort Worth, TX 76109 Phone: 817-984-1688 |